The Correlation Study Of Retain And Suture Ligamentum Flavnm In Prevention Of The Dur Adhesive In The Epidural After Lumbar Discectomy

Objective To discussion the pathogenesis, classification, diagnosis, treatment and radiologic data for the lumbar disc herniation. Compare the clinical efficacy evaluation of retain and suture ligamentum flavnm in microendoscopic dis-cectomy. To provide the basis for prevention of dur adhesive in epidural after lumnar discectomy.Methods This study included 40 cases of lumbar disc herniation. The test group included 17 cases, and control group included 17 cases with 5 cases losing. Complete lateral lumbar spine films and lumbar anteroposterior films, CT examination before the surgery, clear pathological segment and nerve root compression status. The operator retain and suture ligamentum flavnm in microendoscopic dis-cectomy of test group cases and other cases which the operator adopt traditional method in microendoscopic dis-cectomy. All the cases will undergo magnetic resonance imaging in the 6th month after surgery and the cases will be following-up. The follow-upperiod is 6 months. All the dates will be statistical analysis, in order to analyze the two treatment regimens in prevention of dur adhesive in epidural after lumnar discectomy.Results The results of the test group is more satisfied than the control group. The test group got significantly better outcome on the terms of less dur adhesive in epidural on imaging (P<0.05). On the aspects of functional recovery, functional scores in the test group shows little better than the control group (P<0.05).Conclusion This study about retain and suture ligamentum flavum in microendoscopic dis-cectomy is proved effect in prevention of dur adhesive in epidural after lumnar discectomy and also in fewer complications which should be suitable to promote the clinical.